Search › Florida › 207QG0300X
Theresa Payne, D.O
NPI 1306858956 · on the registry since 2006 · sole proprietor
Practice
- Address
- 180 Nw Haynes St
Madison, FL 32340 - Phone
- (850) 973-1215
- Fax
- (866) 923-4163
- Organisation at this address
- Blaine Payne, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207QG0300X
207QG0300X
- Also registered as
- 207Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida